电针在透刺法治疗中风后手指痉挛中临床作用研究  

Clinical Observation of Electroacupuncture based on Penetrate Acupuncture in the Treatment of Finger Spasm after Stroke

作　　者：张俊杰[1] 刘悦[1] 张丽华 谢水平 ZHANG Junjie;LIU Yue;ZHANG Lihua;XIE Shuiping(Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong,China)

机构地区：[1]广东省第二中医院

出　　处：《辽宁中医药大学学报》2018年第11期111-114,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广东省中医药局科研课题项目(20171020)

摘　　要：目的：观察电针在透刺法治疗中风后手指痉挛的临床疗效。方法：采用随机数字分组法将60例广东省第二中医院针灸康复科中风后手指痉挛的患者随机分为电针组及对照组各30例。对照组采用常规透刺法治疗,电针组在常规透刺基础上接波形为疏密波、频率为2～100 Hz的KWD-808I脉冲针灸治疗仪治疗。两组患者均行常规的药物及康复训练治疗,每日1次,每周日休息,连续治疗3周后进行疗效评估。分别比较两组中风后手指痉挛患者治疗前后的手指肌张力（MAS）分级、神经功能缺损程度（NDS）评分及手指运动功能（FMA）评分,并比较两组治疗后临床疗效差异。结果：（1）经Mann-Whitney U检验：两组临床疗效差异具有统计学意义（P=0.048〈0.05）,且电针组的临床总有效率为83.33%,优于总有效率为70.00%的对照组;（2）经t检验：两组治疗后NDS评分较治疗前均显著降低,差异具有统计学意义（均P=0.000〈0.05）,且电针组NDS评分降低幅度显著大于对照组,差异具有显著统计学意义（P=0.000〈0.05）;（3）经t检验：两组治疗后FMA评分较治疗前均显著升高,差异具有统计学意义（均P=0.000〈0.05）,且电针组FMA评分升高幅度显著大于对照组,差异具有显著统计学意义（P=0.000〈0.05）;（4）经Wilcoxon检验：两组治疗后MAS分级均较治疗前显著降低,差异具有统计学意义（P=0.046〈0.05）,且电针组治疗后MAS分级改善程度优于对照组,差异具有统计学意义（P=0.038〈0.05）。结论：常规透刺及透刺后接电针均能明显降低中风后手指痉挛患者的手指肌张力,改善中风后神经功能缺损状况,有助于手指运动功能的恢复,且透刺后接电针在综合改善中风后手指痉挛的临床疗效更佳,适用于临床运用及推广。Objective：To observe the clinical effect of electroacupuncture in the treatment of finger spasm after stroke by penetrate acupuncture. Methods：According to the random number grouping method,60 cases of stroke patients with finger spasm in Guangdong second traditional Chinese medicine hospital were randomly divided into electroacupuncture group and control group,30 cases in each group. The control group was treated with conventional penetrate acupuncture,and the electroacupuncture group was treated by KWD-808 I pulse acupuncture treatment instrument with a waveform of 2-100 Hz,and the frequency of the acupuncture on the basis of routine puncture.Two groups of patients were treated with regular medication and rehabilitation training,1 times a day,rest every Sunday,after 3 weeks of continuous treatment,the curative effect was evaluated.The finger muscle tension（MAS）grade,nerve function defect（NDS）score and finger movement function（FMA）score were compared before and after treatment of two groups of finger spasms,and the difference of clinical effect after treatment was compared between the two groups. Results：（1）After Mann-Whitney U test,the difference of clinical efficacy between the two groups was statistically significant（P=0.048〈0.05）,and the total clinical effective rate of the electroacupuncture group was 83.33%,superior to the control group with a total effective rate of 70%.（2）The NDS score of the two groups was significantly lower than that before the treatment（P=0.000〈0.05）,and the NDS score in the electroacupuncture group was significantly greater than that in the control group,and the difference was significant（P=0.000〈0.05）.（3）After the t test,the FMA score of the two groups was significantly higher than that before the treatment（P=0.000〈0.05）,and the FMA score in the electroacupuncture group was significantly higher than that of the control group. The difference had significant statistical significance（P=0.000〈0.05）.（4）Wilcoxon test：after

关 键 词：中风 手指痉挛 透刺法 电针 临床疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R747.3[医药卫生—临床医学]